Richard John Cossaboon

NPI #1043816648 in Longwood, Florida

Provider Information

NPI Number: 1043816648
Entity Type: Individual
Name: Richard John Cossaboon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 8, 2020
Last Updated: Dec 8, 2020

Practice Location

Address: 105 CAYLE AVE
City: Longwood
State: Florida
ZIP Code: 32750-2802
Phone: (132) 137-0663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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